background and current project progress project advisory panel 17 april 2013
TRANSCRIPT
Background and Current Project ProgressProject Advisory Panel17 April 2013
Presentation Overview
Introduction to the project team Social care policy background Project objectives Project timescales Data requirements Stakeholder engagement Piloting Questions
Project Team
LG Futures – public sector funding and financial management specialists
Undertook previous 2010 feasibility study Focus on data collection
Personal Social Services Research Unit – University of Kent/London School of Economics
Developed previous older people’s formula Focus on formulae(e) development
Social Care Policy Background
Current formulae developed in 2005 and implemented in 2006/07
Cover younger adults (18-64) and older people (65+)
Since then, significant changes in policies and delivery in relation to social care:
Personalisation of care and personal budgets Reablement Telecare Intensive home care as alternatives to residential care Changing roles for health care organisations and local authorities National eligibility standards / FACS
Deferred payments and Dilnot proposals
Social Care Funding ReformNational deferred payments from 2015/16 – can defer fees or repay earlier if they choose
20 March 2013 Budget announcement (response to Dilnot Commission):
Cap on care costs for older people of £72,000 – direct costs of care only – from 2016/17
Changes to the asset limits used for means testing – upper limit changing from current £23,250 to £118,000 in 2016/17 and lower limit changing from current £14,250 to around £17,000 in 2016/17
Different limits/application for younger adults
Local authorities will be required to implement Care Accounts for each individual and report/monitor progress towards the cap
Project Overview
DH commissioned project to develop new funding formula(e), capable of being used from 2015/16 for distribution of:
1. The introduction of the universal deferred payments scheme from 2015/16
2. The introduction of a cap on reasonable care costs and additional financial protection for people in residential care from 2016/17
3. DH specific grants and NHS funding for social care
Also available for consideration as part of the next reset of the business rates retention scheme, currently planned for some time after 2019/20
Project Timetable
Project initiation and
Start-up – Autumn 2012
Feasibility Studies and
Piloting – Spring 2013
Data Collection –
During Summer /
Autumn 2013
Analysis and Modelling –
Spring/ Summer2014
Formula Outputs -
Summer 2014
Overall Data Requirements
• Supplied by participating local authorities• Relating to residential and non-residential care
Local Authority Funded Clients
• Feasibility study investigating alternatives• Focus on residential care• Potential primary data collection
Self-Funders
• Census 2011• DWP Data (benefits recipients etc.)• Other surveys / data collections
National Data Sources
Stakeholder Engagement
Discussions with stakeholder bodies
Webinars Feb and March 2013
Project Advisory Panel – from April 2013
Initial pilot on LA-funded and self-funders – will inform wider national data collection
Will ask for LA volunteers shortly
Full LA funded data collection will involve 30-50 LAs
Discussing data collection on self-funders with DH
National Data Collection - Sampling Framework (LA funded)
Local Authority Type Estimate of Sample Size
County Council 5-9
Inner London Borough 3-5
Outer London Borough 4-6
Metropolitan Borough 7-12
Unitary Authority 11-18
Grand Total 30-50
Local Authority Piloting
Responses from around 10 LAs and also following up with LAs who may have further self-funder data:
Data collection timescales and period
Data availability relating to residential care, non-residential care, self-funders and clients funded by specific grants
Availability of pre-care addresses
Mapping individual data to small areas
Data transfer, data protection and ethics
Support requirements
Local Authority PilotingKey messages from LA piloting
Suggest data collection from July 2013
Focus on 2012/13 data
Mapping to small areas should not be an issue
Use statutory returns for definitions to enable greater consistency (ASC-CAR and RAP)
May be some data quality issues on residential care pre-care addresses, but generally collected
More limitations with cost data – mapping activity and cost at small area level – may use authority average for client and age group
Will need clear guidance, reasonable timescales and support
Contacts
01908 424387
This research has been commissioned and funded by the Policy Research Programme in the Department of Health. The views expressed in this presentation are not necessarily those of the department.